Evidence map›Paper›PMID 38334874›Full record

ArticleJournal of racial and ethnic health disparities2025

Using Geographic Disaggregation to Compare Tuberculosis Epidemiology Among American Indian and Alaska Native Persons-USA, 2010-2020.

Yuri P Springer, J Steve Kammerer, Derrick Felix, Katherine Newell, Megan L Tompkins, Jamie Allison, Louisa J Castrodale, Bruce Chandler, Kathryn Helfrich, Michelle Rothoff and 2 more

Open access · hybridAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Yuri P SpringerCenters for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Atlanta, GA, USA. vkh3@cdc.gov.ORCID 0000-0001-9254-7203
J Steve KammererCenters for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Atlanta, GA, USA.
Derrick FelixCenters for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Atlanta, GA, USA.
Katherine NewellEpidemic Intelligence Service, Centers for Disease Control and Prevention, National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce, Division of Workforce Development, Atlanta, GA, USA.
Megan L TompkinsAlaska Division of Public Health, Section of Epidemiology, Anchorage, Alaska, USA.
Jamie AllisonAlaska Division of Public Health, Section of Epidemiology, Anchorage, Alaska, USA.
Louisa J CastrodaleAlaska Division of Public Health, Section of Epidemiology, Anchorage, Alaska, USA.
Bruce ChandlerAlaska Division of Public Health, Section of Epidemiology, Anchorage, Alaska, USA.
Kathryn HelfrichAlaska Division of Public Health, Section of Epidemiology, Anchorage, Alaska, USA.
Michelle RothoffAlaska Division of Public Health, Section of Epidemiology, Anchorage, Alaska, USA.
Joseph B McLaughlinAlaska Division of Public Health, Section of Epidemiology, Anchorage, Alaska, USA.
Benjamin J SilkCenters for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Atlanta, GA, USA.
Alaska Department of Health and Social Services · USCenters for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundAmerican Indian and Alaska Native (AIAN) populations are frequently associated with the highest rates of tuberculosis (TB) disease of any racial/ethnic group in the USA. We systematically investigated variation in patterns and potential drivers of TB epidemiology among geographically distinct AIAN subgroups.

methodsUsing data reported to the National Tuberculosis Surveillance System during 2010-2020, we applied a geographic method of data disaggregation to compare annual TB incidence and the frequency of TB patient characteristics among AIAN persons in Alaska with AIAN persons in other states. We used US Census data to compare the prevalence of substandard housing conditions in AIAN communities in these two geographic areas.

resultsThe average annual age-adjusted TB incidence among AIAN persons in Alaska was 21 times higher than among AIAN persons in other states. Compared to AIAN TB patients in other states, AIAN TB patients in Alaska were associated with significantly higher frequencies of multiple epidemiologic TB risk factors (e.g., attribution of TB disease to recent transmission, previous diagnosis of TB disease) and significantly lower frequencies of multiple clinical risk factors for TB disease (e.g., diagnosis with diabetes mellitus, end-stage renal disease). Occupied housing units in AIAN communities in Alaska were associated with significantly higher frequencies of multiple measures of substandard housing conditions compared to AIAN communities in other states.

conclusionsObserved differences in patient characteristics and substandard housing conditions are consistent with contrasting syndromes of TB epidemiology in geographically distinct AIAN subgroups and suggest ways that associated public health interventions could be tailored to improve efficacy.

Indexed as

TuberculosisAdolescentAdultAgedAlaskaAmerican Indian or Alaska NativeChildChild, PreschoolFemaleHumansIncidenceMaleMiddle AgedRisk FactorsUnited StatesYoung AdultAlaskaAmerican Indian and Alaska Native (AIAN) personsDisaggregationHealth disparitiesSubstandard housingTuberculosis

Identifiers

PMID38334874
PMCPMC11310363
OpenAlexW4391678842

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.